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Mission Of The Immaculate
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Staten Island, New York
NPI 1750570495

Mission Of The Immaculate is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Staten Island, NY. Mission Of The Immaculate practices in Staten Island, NY. The NPI Number for Mission Of The Immaculate is 1750570495 and holds a License No. 7943430 (New York).

The current practice location address for Mission Of The Immaculate is 6581 Hylan Blvd, Staten Island, NY and can be reached out via phone at 718-317-2803 and via fax at 718-317-2830.

Location: 6581 Hylan Blvd, Staten Island, NY, 10309-3830
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750570495
Provider Name
Mission Of The Immaculate
Credential
Provider Entity Type
Organization
Address
6581 Hylan Blvd, Staten Island, NY, 10309-3830
Phone Number
718-317-2803
Fax Number
718-317-2830
Provider Enumeration Date
10/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02253478 05 NY
02700118 05 NY
02002633 05 NY
01102721 05 NY
institution
Provider Business Practice Location Address Details
Address
6581 Hylan Blvd
City
Staten Island
State
New York
Zip
10309-3830
Phone Number
718-317-2803
Fax Number
718-317-2830
person
Provider Business Mailing Address Details
Address
6581 Hylan Blvd
City
Staten Island
State
New York
Zip
10309-3830
Phone Number
718-317-2803
Fax Number
718-317-2830
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
7943430 (New York)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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